Individual
JERMAINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7813 AIRLINE DR STE B, METAIRIE, LA 70003-6462
(504) 521-5332
Mailing address
1525 SILVER LILLY LN # 5390, MARRERO, LA 70072-2728
(504) 310-5390
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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